Organization
ANTOINE G JOHNSON DDS LLC
Active
Other names
Genesis Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINE GERARD JOHNSON DDS (ORAL SURGEON)
(410) 465-6800
Entity
Organization
Contact information
Practice address
8860 COLUMBIA 100 PARKWAY, SUITE 308, COLUMBIA, MD 21045
(410) 465-6800
(410) 461-4727
Mailing address
8860 COLUMBIA 100 PARKWAY, SUITE 308, COLUMBIA, MD 21045
(410) 465-6800
(410) 461-4727
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
14853
MD
Other
Enumeration date
11/02/2013
Last updated
09/29/2021
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